MIGUEL (MICHAEL) A PARK (M.D.) – Allergy & Immunology Physician, NPI 1619940483

MIGUEL (MICHAEL) A PARK (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 42713 (MN). The NPI Number for MIGUEL (MICHAEL) A PARK (M.D.) is 1619940483

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MIGUEL (MICHAEL) A PARK (M.D.)
NPI
1619940483
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
10 February 2006
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5072842511
Graduation Year
1999 (27 years ago)
PAC ID
7416941687
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20051010000824
Address ID
MN559050001RO200XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
mpark28646@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

91 ALLERGY/IMMUNOLOGY in MN

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Provider Addresses for MIGUEL (MICHAEL) A PARK (M.D.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051010000824IAllergy/ImmunologyMNTBD
I20230412002577IAllergy/ImmunologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract2,70356$0
95018Test for allergy using combination of methods with drug or biological32439$0
95117Professional service for multiple injections of allergen5811$0
99202New patient office or other outpatient visit, 15-29 minutes4242$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2424$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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Provider's Procedures

MIGUEL (MICHAEL) A PARK (M.D.) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYMN95004Injection of allergenic extracts into skin, accessed through the skin282668
ALLERGY/IMMUNOLOGYMN95117Injection of incremental dosages of allergen, 2 or more injections1612

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

How is MIGUEL (MICHAEL) A PARK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MIGUEL (MICHAEL) A PARK (M.D.) with NPI 1619940483.
Does CMS list MIGUEL (MICHAEL) A PARK (M.D.) as active?
Yes — MIGUEL (MICHAEL) A PARK (M.D.) is active in the NPI listing used on this page.
What healthcare role does MIGUEL (MICHAEL) A PARK (M.D.) hold?
Scheduling teams often label MIGUEL (MICHAEL) A PARK (M.D.) under Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MIGUEL (MICHAEL) A PARK (M.D.) on a map?
Expect Rochester, Minnesota as a primary anchor for MIGUEL (MICHAEL) A PARK (M.D.) unless the record lists multiple sites.
Is the information about MIGUEL (MICHAEL) A PARK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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